<meta charset="UTF-8">
<script type="text/javascript" src="${ctx}/resources/js/project/background/leavingMessage/form.js"></script>
<@m.formShade/>
<div class="easyui-layout" data-options="fit:true">   
    <div data-options="region:'center'" style="padding:3px;">
	    <form id="leavingMessage_form">
	    	<input type="hidden" name="id" >
			<table class="form_table">
				<tr>
					<td class="label">姓名</td>
					<td>
						<input name="name" class="easyui-textbox" data-options="width:155,editable:false">
					</td>
					<td class="label">电话</td>
					<td>
						<input name="phone" type="text" class="easyui-textbox" data-options="width:155,editable:false"></input>  
					</td>
				</tr>
				<tr>
					<td class="label">微信/QQ</td>
					<td>
						<input name="wechatNum" class="easyui-textbox" data-options="width:155,editable:false">
					</td>
				</tr>
				<tr>
					<td class="label">内容</td>
					<td colspan="3">
						<input name="content" class="easyui-textbox" data-options="width:485,editable:false,multiline:true" style="height: 100px;">
					</td>
				</tr>
			</table>
		</form>
    </div>
    <div data-options="region:'south',split:true" style="height:35px;text-align: center;">
    	<@m.btns menucode="LEAVINGMESSAGE" btncodes=["leavingMessage_savebtn"]/>
    </div> 
</div> 
